The Saudi Journal of Gastroenterology (Jan 2018)

Predictors of morbidity and mortality post emergency abdominal surgery: A national study

  • Afnan Altamimi,
  • Mazen Hassanain,
  • Thamer Nouh,
  • Khawlah Ateeq,
  • Murad Aljiffry,
  • Abrar Nawawi,
  • Ghaith Al Saied,
  • Mohammed Riaz,
  • Huda Alanbar,
  • Abdullah Altamimi,
  • Saeed Alsareii,
  • Mashael Al-Mousa,
  • Abeer Al-shammari,
  • Saleh Alnuqaydan,
  • Amal Ghzwany

DOI
https://doi.org/10.4103/sjg.SJG_11_18
Journal volume & issue
Vol. 24, no. 5
pp. 282 – 288

Abstract

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Background/Aim: Emergency surgeries have increased in Saudi Arabia. This study examines these surgeries and associated complications. Patients and Methods: This was a prospective multicenter cohort study of patients undergoing emergency intraperitoneal surgery from the eight health sectors of Saudi Arabia. Patients' data were collected over 14 days. Results: In total, 283 patients were included (163 men [54.06%]). The majority of cases were open surgery (204 vs. 79). The 24 h and 30-day mortality rates for the cohort were 0.7 and 2.47%, respectively. Twenty-nine patients (10.24%) required re-intervention, while 19 (8.12%) needed critical care admission. The median length of hospital stay was 3 days. Multivariate analysis showed American Society of Anesthesiologist (ASA) classification score (P = 0.0003), diagnosis (P < 0.0001), stoma formation (P = 0.0123), and anastomotic leak (P = 0.0015) to correlate significantly with 30-day mortality. Conclusion: American Society of Anesthesiologist score, diagnosis, stoma formation and anastomotic leak are associated with 30-day mortality after emergency surgery in Saudi Arabia.

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